For Family pool of 3 

This plan is specifically designed to cater to the healthcare needs of families with one child or dependent offering comprehensive coverage for the entire family. It encompasses a wide range of healthcare services, including consultations with doctors, prescription fulfillment, and major medical procedures. The plan is priced at $55 per year for an individual, with the option to add additional family members. If all beneficiaries are activated together, they are eligible for a discount, reducing the cost to $49.5 per person. Consequently, a couple can take advantage of this offer and obtain coverage for a total of $148.5. It provides comprehensive healthcare coverage for individuals aged 0 to 60, and the coverage remains in effect for a period of 12 months.

Inpatient services are typically provided to patients who require hospitalization for more serious medical conditions. TIVA AFYA FAMILY 3 SCHEME covers several basic inpatient services, including:

·       Hospital room and board: This includes the cost of a hospital bed and nursing care.

·       Medical procedures and treatments: This may include surgeries, anesthesia, diagnostic tests, and imaging tests such as CT scans and MRI.

·       Medications: Inpatient services usually cover the cost of prescription drugs and other medications required during the hospital stay.

·       Rehabilitation services: This includes physiotherapy and other forms of rehabilitation to help patients recover from injuries or illnesses.

·       Intensive care: Patients who require critical care may be admitted to the intensive care unit (ICU) where they receive close monitoring and specialized care.

·       Specialist consultations: Patients may require consultations with medical specialists such as cardiologists, neurologists, or oncologists, depending on their medical condition.

·       Emergency care: In the event of a medical emergency, Tiva Family 3 Health Scheme covers the cost of emergency.

·       Maximum Benefit Ceiling: $3,000 per year

What is not covered

·       Psychiatric hospitalization

·       Chronic diseases, chronic medication

·       Cosmetic surgeries

·       Dental treatments

·       Vision

·       Pregnancy-related conditions etc...

·       Agricultural-Related Illnesses. 

More specifically, outpatient services may include the following:

• General consultations with a physician or specialist for illnesses, injuries, or preventive care
• Diagnostic tests such as blood tests, X-rays, ultrasounds, and ECGs
• Laboratory services such as blood and urine analysis
• Prescription medications for common illnesses and chronic conditions
• Basic medical procedures such as wound dressing, injections, and minor surgeries
• Physiotherapy sessions for rehabilitation after injuries or surgeries

·       Maximum Benefit Ceiling: $750 per year

Exclusions:

•        Pre-existing conditions

•        Cosmetic surgeries

•        Dental treatments

•        Pregnancy-related expenses

·        Inpatient services typically cover the cost of prescription drugs and other medications required during a beneficiary's hospital stay, with the following exceptions: pre-existing conditions, cosmetic surgeries, dental treatments, and pregnancy and delivery-related treatments.

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·        Tiva has a network of pharmacies throughout the entire country, which are located in various street locations. This program specifically covers medication benefits that are within the outpatients’ limit.

·        Each individual with Tiva Family 3 Health Scheme package has access to medication benefits as explained above.

·       The outpatient services component offers a wide range of diagnostic tests such as blood tests, X-rays, Ultrasounds, and ECGs, laboratory services such as blood and urine analysis, basic medical procedures such as wound dressing, injections, and minor surgeries, as well as physiotherapy sessions for rehabilitation after injuries or surgeries.

·       TIVA AFYA FAMILY 3 SCHEME's coverage for examination and investigation includes pathology tests (such as tissue lab tests, blood tests, and urine tests) as well as basic imaging procedures like X-rays and PET scans for inpatient beneficiaries (subscribers).

·       Under the TIVA AFYA FAMILY 3 SCHEME, the coverage includes CT scans and MRI procedures if they are administered to a patient during their admission and a medical justification is provided.

The Tiva Family 3 Health Scheme offers comprehensive coverage for a wide range of surgical procedures, operation theatre costs, operation fees, it covers pre-operative consultations, post-operative care, rehabilitation services as required and anesthetics facilities. 

·        The Tiva Family 3 Health Scheme provides coverage for emergencies and accidents, as well as medical treatments, hospitalization, and operation procedures, ensuring comprehensive and affordable access to high-quality healthcare.

What is not covered:

• Ambulance services related costs.
• Any emergency transportation including air evacuation, cross border transportation is not included.

If need hospital transfer coverages; discover  Tiva-Patient Transfer Package - $5/year/person

·       The Tiva Family 3 Health Scheme does not include coverage for dental care, such as routine dental examinations, cleanings, fillings, extractions, or any other dental treatments.

·         Individuals seeking dental care may need to explore alternative options, such as purchasing additional dental insurance plan or paying for dental services out of pocket.

Pay $15/month /person for Tiva Dental Executive Plan

·       You can purchase Tiva Dental CARE EXECUTIVE PLAN to be included in your Tiva Family 3 Health Scheme.

·        All dental care services under the plan are covered when you add dental care plan

·       Consultations and basic treatment are included – see the list of treatment here.

·       Surgeries and procedures: Scaling, polishing, root canal, basic extraction subject to dental is included    

·       Waiting time for the dental insurance is 6 months.

Click here for more information. 

·       The Tiva Family 2 Health Scheme does not provide coverage for vision care, including routine eye examinations, corrective eyewear, or any other vision-related treatments.

·       Patients requiring vision care may need to consider alternative options, such as purchasing vision insurance or paying for services out of pocket.

Pay $19/month /person                   
You can purchase a VISION CARE PLAN to be included in your Tiva Family 2 Health Scheme.

The optical care plans include. 

• Eye Consultation, treatment of eye conditions, diagnostics procedures and glasses are all covered under this vision plan.
• Eye operations and surgeries are all covered.
• Waiting time for the vision package is 6 months to kick in.

Click here for more information. 

·        The Tiva Family 3 Health Scheme does not cover maternity care

·        The Tiva Family 3 Health Scheme does not provide coverage for maternity care, including pregnancy-related conditions, childbirth, and postnatal care.

·        Patients requiring maternity care may need to consider alternative options, such as purchasing maternity insurance or paying for services out of pocket if they are enrolled in this scheme.

·        It is important for patients to carefully review the coverage options and limitations of their healthcare plans to ensure that they have access to the medical care they need when they need it.

Pay $110/year/person

You can purchase a MATERNITY CARE PLAN to be included in your Tiva Family 3 Health Scheme.

 The maternity care plan includes:

• Imaging, medications and Antenatal care.
• Delivery also is included and postnatal care of the mother and the new baby.

·        The TIVA MATERNITY CARE package includes Neonatal care, circumcision, and all other necessary procedures.

•  Waiting time is 4 months.

The TIVA MATERNITY CARE plan offers a comprehensive range of services to support expectant mothers and their babies throughout the pregnancy and after delivery. This plan covers antenatal care, imaging, medications, delivery, and postnatal care for both the mother and the baby. Additionally, the package includes neonatal care, circumcision, and all other necessary procedures to ensure the well-being of the newborn.

With the TIVA MATERNITY CARE plan, expectant mothers can have peace of mind knowing that they will have access to the medical care they need throughout their pregnancy and after delivery.

The TIVA MATERNITY CARE plan provides comprehensive care for expectant mothers and their babies, covering antenatal care, delivery, postnatal care, neonatal care, circumcision, and necessary procedures.

Click here for more information.

General Prohibitions to all Tiva health schemes users:

The Tiva health schemes have several general prohibitions that apply to all users, including using the scheme for fraudulent or illegal purposes, providing false information, sharing benefits with unauthorized individuals, failing to follow prescribed treatment plans, engaging in risky behaviors, using the scheme for elective or cosmetic procedures, receiving care from unauthorized providers, making false claims, and violating the code of conduct or ethics policy.

It is important for all Tiva health Scheme users to understand and comply with these prohibitions and restrictions to ensure that they receive the appropriate level of care and to avoid any negative consequences, such as loss of coverage or legal penalties.

Tiva is committed to maintaining ethical and legal practices, which includes the right to deny sales of health schemes to individuals with a history of malicious or criminal acts, forgeries, or fraudulent activities related to Tiva health scheme. To verify eligibility, background checks or additional documentation may be required. This ensures quality services, affordable healthcare coverage, and allocation of resources towards genuine health needs.

Tiva reserves the right to refuse the sale of the Tiva Family 3 Health Scheme to individuals who have committed malicious acts, criminal offenses, or related offenses. Additionally, the company reserves the right to cancel a subscriber's coverage if they are found to be involved in a conspiracy to defraud the company.

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  ·        It’s easy to activate the Scheme, its take less than 3 minute.

  ·        To activate TIVA AFYA YANGU FAMILY 3 SCHEME, you must have purchased the AFYA YANGU HEALTH SCHEME (PERSONAL) first.

  ·        Once you purchase your Tiva Health Scheme, you will be automatically notified within seconds via phone or email about the details of your health Scheme.

  ·        To check your insurance balance credit; if using Vodacom, Airtel, Tigo: Type *121#.
  
  

  To Activate Tiva Afya Yangu Health Scheme (PERSONAL): Type *120*1#.

  ·        It is easy to activate 3 persons to your Tiva Afya Yangu Scheme (PERSONAL) to make it AFYA YANGU FAMILY 3 HEALTH SCHEME. Just make sure you have enough credit to activate health insurance for three, i.e. $148.5.

  ·        To activate AFYA YANGU FAMILY 3 HEALTH SCHEME ($148.5), type *120*3#.

   

  How to Subscribe and Activate Tiva Afya Yangu Plan and Related Upgraded Schemes

   

  Package	Period	Type
  To activate Tiva Afya Yangu Scheme coverage (Personal):	Yearly	*120*1# - /Personal ($55)
  Tiva Telemedicine Coverage	Yearly	*120*41*1# - For A Basic Plan ($5/year)
  Tiva Maternity Care Plan	Yearly	*120*42*1# - For A Basic Plan ($110/year)
  	Yearly
  Tiva Vision Care Plan	Yearly	*120*43*1# - For A Basic Plan ($19/month)
  	Yearly
  Tiva Dental Care Plan	Yearly	*120*44*1# - For A Basic Plan ($15/month)
  Tiva Home-based Care Plan	Yearly	*120*45*1# - For A Basic Plan ($29.99/month)
  Tiva Employment Coverage	Yearly	*120*46*1# - For A Basic Plan ($20/year)
  Tiva-Patient Transfer Package		*120*47*1# - For A Basic Plan (#30/year)

   

   

   

  Note:

  If you have added money to activate Tiva Afya Yangu Health Scheme package and need to add another person, send the credit to a friend, or add multiple people to your package, you can use your Tiva insurance credit to activate any package or plan on the Tiva platform.

  This operates with: Vodacom TZ, Halotel TZ, Airtel TZ and Tigo TZ

  Requirements for Your Insurance ID Card and Dependents' Identification.

  After activating your health insurance as the policyholder, you and your dependents have multiple options for registration. The quickest and most convenient way is to register through your Tiva Health account on https://Tiva.co.tz or using the Tiva Health Tanzania App. The process involves scanning your ID, taking a photo, and submitting your fingerprints (if using the App). Alternatively, you can visit any hospital or pharmacy within our network or any Tiva shop in your neighborhood where the "Tiva is Available Here" banner is displayed to obtain your insurance ID card. Each beneficiary (if multiple) can also collect their Tiva Health ID card from any Tiva shop, pharmacy, or hospital at their convenience.

  Note:

  In order for you and each of your dependents to get registered, the following are needed:

  •        National Identification Authority Card (NIDA CARD) or a passport or any other government-issued identification.

  •        Insurance account number and secret dependent code (for both principal and dependents), which were provided to you upon activation of your health insurance package.

  
  No mobile Money Registration is required:
  Your dependents do not need a registered Mobile Money number to receive the insurance or activate – just any mobile registered number is enough.

  ·       The number your beneficiary receives insurance at is the primary number.

  ·       Before activating the insurance package, the principal policyholder has the option to transfer the insurance credit to another mobile number or family member. However, once the package is activated under a specific number, it cannot be transferred or changed to another package. If you have an urgent need to make changes, please contact our customer support team at 0757710714 for assistance.

  ·       For you to transfer health insurance to another number; type *126*phone number*Credit value# - Send.
  (This applies for Vodacom TZ, Airtel TZ, Halotel TZ and Tigo TZ)

  ·       Your insurance benefits start counting the moment you activate your package.

  For all core Tiva Health Schemes; waiting time is 30 days